Dr. Roslin: Why the pyloric valve is SO important. (A must read)
Many of my pyloric valve PSAs, that I have been repeatedly burned at the stake over, have involved many studies in which Dr. Roslin has been a part of.
The evidence has been becoming clearer and clearer that pylorus preserving WLS has many benefits over man made stoma*****hed into pretend stomachs.
Yes, there is a chance that people with pyloric preserving surgeries can develop early/late dumping/RH but that number is significantly lower as compared to those with RNY and there is a myriad of other contributing factors as to why one with a pyloric valve might develop it , surgery or no surgery.
There are many people here *****fuse to believe that the Pyloric Valve has ANYTHING AT ALL to do with it and no study will convince them of the ever growing evidence.
Dr. Roslin and his team decided to investigate whether two other bariatric procedures that preserve the pyloric valve – sleeve gastrectomy and duodenal switch – would lead to better glucose regulation, thus suppressing weight regain. The preliminary data of this current study shows that all three operations initially reduce fasting insulin and glucose. However, when sugar and simple carbs are consumed, gastric bypass patients have a 20-fold increase in insulin production at six months, compared to a 4-fold increase in patients who have undergone either a sleeve gastrectomy or a duodenal switch procedure. The dramatic rise in insulin in gastric bypass patients causes a rapid drop in glucose, promoting hunger and leading to increased food consumption.
HOW MUCH MORE EVIDENCE DOES ONE NEED TO BE CONVINCED THAT KEEPING ONE'S PYLORUS IN TACT IS A GREAT ADVANTAGE OVER RNY?
The evidence has been becoming clearer and clearer that pylorus preserving WLS has many benefits over man made stoma*****hed into pretend stomachs.
Yes, there is a chance that people with pyloric preserving surgeries can develop early/late dumping/RH but that number is significantly lower as compared to those with RNY and there is a myriad of other contributing factors as to why one with a pyloric valve might develop it , surgery or no surgery.
There are many people here *****fuse to believe that the Pyloric Valve has ANYTHING AT ALL to do with it and no study will convince them of the ever growing evidence.
Dr. Roslin and his team decided to investigate whether two other bariatric procedures that preserve the pyloric valve – sleeve gastrectomy and duodenal switch – would lead to better glucose regulation, thus suppressing weight regain. The preliminary data of this current study shows that all three operations initially reduce fasting insulin and glucose. However, when sugar and simple carbs are consumed, gastric bypass patients have a 20-fold increase in insulin production at six months, compared to a 4-fold increase in patients who have undergone either a sleeve gastrectomy or a duodenal switch procedure. The dramatic rise in insulin in gastric bypass patients causes a rapid drop in glucose, promoting hunger and leading to increased food consumption.
HOW MUCH MORE EVIDENCE DOES ONE NEED TO BE CONVINCED THAT KEEPING ONE'S PYLORUS IN TACT IS A GREAT ADVANTAGE OVER RNY?
I just attended Dr. Roslin's WLS seminar as I am seeking a revision from RNY to DS. I know realize that I wasn't the failure for my weight gain. I had RNY 7 years ago and have done pretty well until 2008 when I started gaining weight.
I wish I know more about DS when I was seeking surgery in 2004.
Thanks for publishing this.
Frankie
I wish I know more about DS when I was seeking surgery in 2004.
Thanks for publishing this.
Frankie
(xpost)
Dr Roslin also wrote a great article in Bariatric Times about pyloric preservation in 2009
www.nxtbook.com/nxtbooks/matrix/bt_supp0609/index.php
iS IT TIME TO BYPASS THE BYPASS?
SHOULD THE PYLORIC PRESERVATION
BECOME AN IMPORTANT PRINCIPLE
IN BARIATRIC SURGERY?
Dr Roslin also wrote a great article in Bariatric Times about pyloric preservation in 2009
www.nxtbook.com/nxtbooks/matrix/bt_supp0609/index.php
iS IT TIME TO BYPASS THE BYPASS?
SHOULD THE PYLORIC PRESERVATION
BECOME AN IMPORTANT PRINCIPLE
IN BARIATRIC SURGERY?
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